ESU Application

If yes, please fill out the following:

List your past three employers beginning with the most recent.

Please list three personal character references other than relatives.

If accepted, approximately what hours would you be available? Please use am and pm with times.

I hereby acknowledge my complete understanding that the standby assignment I am volunteering for carries with it the requirement that I will, without question, obey and execute to the best of my ability the lawful orders of those designated to supervise and command my activities, that I will complete all assigned training courses, and that any violation or disregard of the rules and regulations of the Emergency Support Unit (ESU) will be cause for disciplinary action or dismissal. Furthermore, I understand that any false statements intentionally made in my application disqualifies me for membership in the Office of Emergency Management, Emergency Support Unit. I understand that in compliance with Tennessee State Law, all applications are subject to public disclosure, and according to T.C.A 47-10-107 (a)(d), Legal recognition of electronic records, electronic signatures, and electronic contracts, a record or signature may not be denied legal effect or enforceability solely because it is in electronic form, and if a law requires a signature, an electronic signature satisfies the law.

I have agreed to submit this application by electronic means. By signing this application electronically, I certify that:

• I understand the questions and statements on this application;
• My answers are correct and complete to the best of my knowledge;
• I am the person applying for this position;
• I authorize the Office of Emergency Management Director, or his designee, to verify the information I have provided in this application; and,
• I authorize the Office of Emergency Management Director, or his designee, to conduct a records check of my traffic moving violations in Tennessee.